| 肌源性咽喉麻痹的临床特征(附3例报告) |
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| 引用本文： | 刘智献,谷朝芳,华玮. 肌源性咽喉麻痹的临床特征(附3例报告)[J]. 临床耳鼻咽喉头颈外科杂志, 1999, 13(6): 246-247 |
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| 作者姓名： | 刘智献 谷朝芳 华玮 |
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| 作者单位： | 鹤壁市第一人民医院耳鼻咽喉科,河南鹤壁,458000 |
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| 摘 要： | 目的：提高临床对肌源性咽喉麻痹的诊治水平。方法：通过临床和肌电图、血清激酶、肌肉活检等辅助检查,确诊３例肌源性咽喉麻痹患者。其临床特征是：吞咽困难、发育无力、肌电图呈肌源性改变、ＣＰＫ升高等;应用大剂量糖皮质激素治疗有明显效果。结果：３例经及时用激素治疗,１例治愈,２例控制了症状。结论：肌源性咽喉麻痹应注意同神经源性咽喉麻痹相鉴别,并注意糖皮质激素的用法,防止“反跳”现象发生。
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| 关 键 词： | 吞咽障碍 喉麻痹 多发性肌炎 皮肌炎 |
The clinical characters of myopatic pharyngoparalysis and laryngoparalysis with 3 cases report |
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| Liu Zhixian,Gu Chaofang,Hua Wei. The clinical characters of myopatic pharyngoparalysis and laryngoparalysis with 3 cases report[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 1999, 13(6): 246-247 |
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| Authors: | Liu Zhixian Gu Chaofang Hua Wei |
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| Affiliation: | Department of Otolaryngology, Hebi First People's Hospital, Henan Province, Hebi 458000. |
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| Abstract: | Objective: To improve the level of diagnosis and treatment about myopathic pharyngoparalysis and laryngoparalysis (MPL). Method: 3 cases of MPL were diagnosed by clinical inaterials,electromyogram,serokinase and muscle biopsy.The clinical characters are dysphagia,phonasthenia,abnormal electromyogram and high CPK et al.They were all treated with glucocorticoid. Result: The effect of treatment on all 3 cases was good. Couclusion: It is important to distinguish MPL with neuropathic pharyngoparalysis and laryngoparalysis.An appropriate glucocorticoid treatment is also impontant. |
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| Keywords: | Deglutition disordersLaryngeal paralysisPolymyositisDermatomyositis |
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